{"id":108,"date":"2025-06-19T06:52:37","date_gmt":"2025-06-19T06:52:37","guid":{"rendered":"https:\/\/asyouare.no\/?p=108"},"modified":"2025-08-21T19:59:12","modified_gmt":"2025-08-21T19:59:12","slug":"lav-energitilgjengelighet-gir-darligere-prestasjoner-og-flere-skader","status":"publish","type":"post","link":"https:\/\/starasyouare.com\/en\/lav-energitilgjengelighet-gir-darligere-prestasjoner-og-flere-skader\/","title":{"rendered":"Low Energy Availability Leads to Poorer Performance and More Injuries"},"content":{"rendered":"

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Written by: Jorunn Sundgot-Borgen, Monica Klungland Torstveit, Therese Fostervold Mathisen, Anne Marte Pensgaard<\/p>\n

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New Guidelines for the Syndrome Relative Energy Deficiency in Sport (REDs)<\/h2>\n<\/blockquote>\n

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In many sports, athletes have significant energy needs to maintain the effects of necessary training volumes and desired competition performance. In sports medicine, the term Low Energy Availability (LEA) is used to describe a condition where energy intake is too low to cover basic energy needs if training consumes too much of the energy supply. When this exposure is long-term or of significant magnitude, it is called problematic low energy availability (1)<\/a>. Over time, this contributes to various negative physiological and psychological health and performance-related effects\u2014a condition referred to as Relative Energy Deficiency in Sport (REDs). (2)<\/a>. According to the International Olympic Committee (IOC)'s 2023 consensus report, relative energy deficiency is a clinically diagnosed, multifactorial syndrome characterized by a cluster of negative health and performance outcomes due to exposure to problematic low energy availability.<\/p>\n

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High-Risk Sports<\/h2>\n

Athletes in weight-sensitive sports are considered to be at increased risk of developing REDs. These include: Sports where low body weight offers a performance advantage, such as ski jumping or wrestling (where strength-to-weight ratio is key), endurance sports, like long-distance running, cross-country skiing, or cycling, which require high energy expenditure, and aesthetic sports, like gymnastics, dance, or rhythmic gymnastics, where appearance and execution are judged. The prevalence of symptoms ranges from 23\u201380% in female athletes and 15\u201370% in male athletes, depending on the specific sport and methodology used in the studies (1)<\/a>. Young athletes, who require extra energy for growth and development, need special attention. (1, 3)<\/a>.<\/p>\n

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Prevention, Diagnosis, and Treatment<\/h2>\n

Specific guidelines for prevention have been developed, including: Primary prevention strategies, such as increasing awareness of REDs and reducing the emphasis on measuring body composition (3)<\/a>, Secondary prevention, like early identification of symptoms to prevent more serious consequences. Tertiary prevention, which involves the treatment of energy deficiency (4)<\/a>. It is crucial that sports medicine professionals rule out other diagnoses during clinical evaluation of athletes showing signs of REDs. To support clinicians working with athletes, the IOC REDs Clinical Assessment Tool (IOC REDs CAT2) has been developed. This tool provides a practical clinical approach for diagnosing REDs (5)<\/a>. The cornerstone of REDs treatment is to reverse low energy availability, either by increasing energy intake through dietary measures or by reducing energy expenditure through training modifications.<\/p>\n

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Tidsskriftet.no<\/a><\/p>\n

1 \u2013<\/strong>\u00a0Mountjoy M, Ackerman KE, Bailey DM et al. <\/span>The 2023 International Olympic Committee’s (IOC) consensus statement on Relative Energy Deficiency in Sports (REDs).<\/a>\u00a0Br J Sports Med 2023; 57: 1073\u201398. [<\/span>CrossRef<\/a>]<\/span><\/p>\n

2 \u2013 <\/strong>Pensgaard\u00a0AM, Sundgot-Borgen\u00a0J, Edwards\u00a0C et al.Intersection of mental health issues and Relative Energy Deficiency in Sport (REDs): a narrative review by a subgroup of the IOC consensus on REDs.<\/a>Br J Sports Med 2023; 57: 1127\u201335. [PubMed<\/a>][CrossRef<\/a>]<\/span><\/p>\n

3 \u2013 <\/strong>Mathisen\u00a0TF, Ackland\u00a0T, Burke\u00a0LM et al.Best practice recommendations for body composition considerations in sport to reduce health and performance risks: a critical review, original survey and expert opinion by a subgroup of the IOC consensus on Relative Energy Deficiency in Sport (REDs).<\/a>Br J Sports Med 2023; 57: 1148\u201358. [PubMed<\/a>][CrossRef<\/a>]<\/span><\/p>\n

4 \u2013 <\/strong>Torstveit\u00a0MK, Ackerman\u00a0KE, Constantini\u00a0N et al.Primary, secondary and tertiary prevention of Relative Energy Deficiency in Sport (REDs): a narrative review by a subgroup of the IOC consensus on REDs.<\/a>Br J Sports Med 2023; 57: 1119\u201326. [PubMed<\/a>][CrossRef<\/a>]<\/span><\/p>\n

5 \u2013 <\/strong>Stellingwerff\u00a0T, Mountjoy\u00a0M, McCluskey\u00a0WT et al.Review of the scientific rationale, development and validation of the International Olympic Committee Relative Energy Deficiency in Sport Clinical Assessment Tool: V.2 (IOC REDs CAT2)-by a subgroup of the IOC consensus on REDs.<\/a>Br J Sports Med 2023; 57: 1109\u201318. [PubMed<\/a>][CrossRef<\/a>]<\/span><\/p>\n

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New guidelines for the syndrome Relative Energy Deficiency in Sport (REDs). 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